A. Eligibility requirements for the
Independent Living (IL) Waiver Program include the following:
1. Persons must be age sixteen (16) or older.
2. Persons must require nursing
facility level of care as determined by a comprehensive long-term services and
supports (LTSS) assessment.
3.
Persons must exhibit severe orthopedic and/or neurological impairments that
render them dependent on others, assistive devices, other types of assistance,
or a combination of the three (3) to accomplish the activities of daily living.
4. Persons must be able to express
ideas and wants either verbally or nonverbally with caregivers, personal care
attendants (PCAs), case managers or others involved in their care.
5. Persons must be certified as medically
stable by a physician. The Division of Medicaid defines medical stability as
the absence of all of the following:
a) An
active, life-threatening condition requiring systematic therapeutic measures,
b) Intravenous drip to control or
support blood pressure, and
c)
Intracranial pressure or arterial monitoring.
6. Persons must meet the criteria in one (1)
of the following Categories of Eligibility (COE):
a) Supplemental Security Income (SSI),
b) Parents and Other Caretaker
Relatives Program,
c) Disabled
Child Living at Home,
d) Children
under age nineteen (19) who meet the applicable income requirements,
e) Disabled Adult Child,
f) Protected Foster Care Adolescents,
g) Child Welfare Services (CWS)
Foster Children and Adoption Assistance Children,
h) IV-E Foster Children and Adoption
Assistance Children,
i) An aged,
blind or disabled individual who meets all factors of institutional
eligibility. If income exceeds the current institutional limit, the individual
must pay the Division of Medicaid the portion of their income that is due under
the terms of an Income Trust in order to qualify, or
j) Working Disabled.
B. Persons enrolled in the IL
Waiver cannot reside in a nursing facility or licensed or unlicensed personal
care home and are prohibited from receiving additional Medicaid services
through another waiver program.
C.
Persons enrolled in the IL Waiver who elect to receive hospice care may not
receive waiver services which are duplicative of any services rendered through
hospice. Persons may receive non-duplicative waiver services in coordination
with hospice services.
42 U.S.C. §
1396n; 42 C.F.R. §§ 435.217,
440.180, 441.301; Miss. Code Ann. §§
43-13-115,
43-13-117,
43-13-121.
